Self-reported prognostic factors in adults reporting neck or low back pain: An umbrella review.
Journal
European journal of pain (London, England)
ISSN: 1532-2149
Titre abrégé: Eur J Pain
Pays: England
ID NLM: 9801774
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
02
07
2020
accepted:
09
04
2021
pubmed:
18
4
2021
medline:
28
9
2021
entrez:
17
4
2021
Statut:
ppublish
Résumé
Numerous systematic reviews have attempted to synthesize evidence on prognostic factors for predicting future outcomes such as pain, disability and return-to-work/work absence in neck and low back pain populations. An umbrella review of systematic reviews was conducted to summarize the magnitude and quality of the evidence for each prognostic factor investigated. Searches were limited to the last 10 years (2008-11th April 2018, updated 28th September 2020). A two-stage approach was undertaken: in stage one, data on prognostic factors was extracted from systematic reviews identified from the systematic search that met the inclusion criteria. Where a prognostic factor was investigated in ≥1 systematic review and where 50% or more of those reviews found an association between the prognostic factor and one of the outcomes of interest, it was taken forward to stage two. In stage two, additional information extracted included the strength of association found, consistency of effects and risk of bias. The GRADE approach was used to grade confidence in the evidence. Stage one identified 41 reviews (90 prognostic factors), with 35 reviews (25 prognostic factors) taken forward to stage two. Seven prognostic factors (disability/activity limitation, mental health; pain intensity; pain severity; coping; expectation of outcome/recovery and fear-avoidance) were judged as having moderate confidence for robust findings. Although there was conflicting evidence for the strength of association with outcome, these factors may be used for identifying vulnerable subgroups or people able to self-manage. Further research can investigate the impact of using such prognostic information on treatment/referral decisions and patient outcomes.
Sections du résumé
BACKGROUND
Numerous systematic reviews have attempted to synthesize evidence on prognostic factors for predicting future outcomes such as pain, disability and return-to-work/work absence in neck and low back pain populations.
DATABASES AND DATATREATMENT
An umbrella review of systematic reviews was conducted to summarize the magnitude and quality of the evidence for each prognostic factor investigated. Searches were limited to the last 10 years (2008-11th April 2018, updated 28th September 2020). A two-stage approach was undertaken: in stage one, data on prognostic factors was extracted from systematic reviews identified from the systematic search that met the inclusion criteria. Where a prognostic factor was investigated in ≥1 systematic review and where 50% or more of those reviews found an association between the prognostic factor and one of the outcomes of interest, it was taken forward to stage two. In stage two, additional information extracted included the strength of association found, consistency of effects and risk of bias. The GRADE approach was used to grade confidence in the evidence.
RESULTS
Stage one identified 41 reviews (90 prognostic factors), with 35 reviews (25 prognostic factors) taken forward to stage two. Seven prognostic factors (disability/activity limitation, mental health; pain intensity; pain severity; coping; expectation of outcome/recovery and fear-avoidance) were judged as having moderate confidence for robust findings.
CONCLUSIONS
Although there was conflicting evidence for the strength of association with outcome, these factors may be used for identifying vulnerable subgroups or people able to self-manage. Further research can investigate the impact of using such prognostic information on treatment/referral decisions and patient outcomes.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1627-1643Informations de copyright
© 2021 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC®.
Références
Agnello, A., Brown, T., Desroches, S., Welling, U., & Walton, D. (2010). Can we identify people at risk of non-recovery after acute occupational low back pain? Results of a review and higher-order analysis. Physiotherapy Canada, 62, 9-16. https://doi.org/10.3138/physio.62.1.9
Alhowimel, A., AlOtaibi, M., Radford, K., & Coulson, N. (2018). Psychosocial factors associated with change in pain and disability outcomes in chronic low back pain patients treated by physiotherapist: A systematic review. SAGE Open Medicine, 6. https://doi.org/10.1177/2050312118757387
Alzaharani, H., Mackey, M., Stamatakis, E., Zadro, J. R., & Shirley, D. (2019). The association between physical activity and low back pain: A systematic review and meta-analysis of observational studies. Scientific Reports, 9(1), 8244. https://doi.org/10.1038/s41598-019-44664-8
Aromataris, E., Fernandez, R., Godfrey, C. M., Holly, C., Khalil, H., & Tungpunkom, P. (2015). Summarizing systematic reviews: Methodological development, conduct and reporting of an umbrella review approach. International Journal of Evidence-Based Healthcare, 13, 132-140. https://doi.org/10.1097/XEB.0000000000000055
Ashworth, J., Konstantinou, K., & Dunn, K. M. (2011). Prognostic factors in non-surgically treated sciatica: A systematic review. BMC Musculoskeletal Disorders, 12, 208. https://doi.org/10.1186/1471-2474-12-208
Balaji, V. R., Chin, K. F., Tucker, S., Wilson, L. F., & Casey, A. T. (2014). Recovery of severe motor deficit secondary to herniated lumbar disc prolapse: Is surgical intervention important? A systematic review. European Spine Journal, 23, 1968-1977. https://doi.org/10.1007/s00586-014-3371-2
Buhn, S., Mathes, T., Prengel, P., Wgewitz, U., Ostermann, T., Robens, S., & Pieper, D. (2017). The risk of bias in systematic reviews tool showed fair reliability and good construct validity. Journal of Clinical Epidemiology, 91, 121-128. https://doi.org/10.1016/j.jclinepi.2017.06.019
Campbell, L., Smith, A., McGregor, L., & Sterling, M. (2018). Psychological factors and the development of chronic whiplash-associated disorder(s): A systematic review. Clinical Journal of Pain, 34, 755-768. https://doi.org/10.1097/AJP.0000000000000597
Campbell, P., Wynne-Jones, G., & Dunn, K. M. (2011). The influence of informal social support on risk and prognosis in spinal pain: A systematic review. European Journal of Pain, 15(444), e1-e14. https://doi.org/10.1016/j.ejpain.2010.09.011
Campbell, P., Wynne-Jones, G., Muller, S. M., & Dunn, K. M. (2013). The influence of employment social support for risk and prognosis in nonspecific back pain: A systematic review and critical synthesis. International Archives of Occupational and Environmental Health, 86, 119-137. https://doi.org/10.1007/s00420-012-0804-2
Carroll, L. J., Hogg-Johnson, S., Cote, P., van der Velde, G., Holm, L. W., Carragee, E. J., Hurwitz, E. L., Peloso, P. M., Cassidy, J. D., Guzman, J., Nordin, M., Haldeman, S., & Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. (2008). Course and prognostic factors for neck pain in workers: Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders. Spine, 33, S93-S100. https://doi.org/10.1007/s00586-008-0629-6
Carroll, L. J., Hogg-Johnson, S., van der Velde, G., Haldeman, S., Holm, L. W., Carragee, E. J., Hurwitz, E. L., Cote, P., Nordin, M., Peloso, P. M., Guzman, J., Cassidy, J. D., & Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. (2008). Course and prognostic factors for neck pain in the general population: Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders. Spine, 33, S75-S82. https://doi.org/10.1097/BRS.0b013e31816445be
Carroll, L. J., Holm, L. W., Hogg-Johnson, S., Cote, P., Cassidy, D. J., Haldeman, S., Nordin, M., Hurwitz, E. L., Carragee, E. J., van der Velde, G., Peloso, P. M., & Guzman, J. (2008). Course and prognostic factors for neck pain in whiplash-associated disorders (WAD): Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and its Associated Disorders. Spine, 33, S83-92. https://doi.org/10.1007/s00586-008-0628-7
Celestin, J., Edwards, R. R., & Jamison, R. N. (2009). Pretreatment psychosocial variables as predictors of outcomes following lumbar surgery and spinal cord stimulation: A systematic review and literature synthesis. Pain Medicine, 10, 639-653. https://doi.org/10.1111/j.1526-4637.2009.00632.x
Chou, R., & Shekelle, P. (2010). Will this patient develop persistent disabling low back pain? Journal of the American Medical Association, 303, 1295-1302. https://doi.org/10.1001/jama.2010.344
da Silva, T., Mills, K., Brown, B. T., Herbert, R. D., Maher, C. G., & Hancock, M. J. (2017). Risk of recurrence of low back pain: A systematic review. Journal of Orthopaedic and Sports Therapy, 47, 305-313. https://doi.org/10.2519/jospt.2017.7415
De Vos Andersen, N.-B., Kent, P., Hjort, J., & Høyrup Christiansen, D. (2017). Clinical course and prognosis for musculoskeletal pain in patients referred for physiotherapy: Does pain site matter? BMC Musculoskeletal Disorders, 18, 130. https://doi.org/10.1186/s12891-017-1487-3
Deyo, R. A., Rainville, J., & Kent, D. L. (1992). What can the history and physical examination tell us about low back pain? Journal of the American Medical Association, 268, 760-765. https://doi.org/10.1001/jama.1992.03490060092030
Duthey, B. (2013). Low back pain. Priority Medicines for Europe and the World. “A Public Health Approach to Innovation”. WHO.
Foster, N. E., Hill, J. C., O'Sullivan, P., & Hancock, M. (2013). Stratified models of care. Best Practice and Research Clinical Rheumatology, 27, 649-661. https://doi.org/10.1016/j.berh.2013.10.005
GBD. (2015). Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: A systematic analysis for the Global Burden of Disease Study 2015. Lancet, 388, 545-602. https://doi.org/10.1016/S0140-6736(16)31678-6
Hallegraeff, J. M., Krijnen, W. P., van der Schans, C. P., & de Greef, M. H. (2012). Expectations about recovery from acute non-specific low back pain predict absence from usual work due to chronic low back pain: A systematic review. Journal of Physiotherapy, 58, 165-172. https://doi.org/10.1016/S1836-9553(12)70107-8
Hayden, J. A., Chou, R., Hogg-Johnson, S., & Bombardier, C. (2009). Systematic reviews of low back pain prognosis had variable methods and results: Guidance for future prognosis reviews. Journal of Clinical Epidemiology, 62, 781-796. https://doi.org/10.1016/j.jclinepi.2008.09.004
Hayden, J. A., Tougas, M. E., Riley, R., Iles, R., & Pincus, T. (2014). Individual recovery expectations and prognosis of outcomes in non-specific low back pain: Prognostic factor exemplar review. Cochrane Database of Systematic Reviews, 9, CD011284. https://doi.org/10.1002/14651858
Hayden, J. A., Wilson, M. N., Riley, R. D., Iles, R., Pincus, T., & Ogilvie, R. (2019). Individual recovery expectations and prognosis of outcomes in non-specific low back pain: Prognostic factor review. Cochrane Database of Systematic Reviews, 11, CD011284. https://doi.org/10.1002/14651858
Hendrick, P., Milosavljevic, S., Hale, L., Huley, D. A., McDonough, S., Ryan, B., & Baxter, G. D. (2011). The relationship between physical activity and low back pain outcomes: A systematic review of observational studies. European Spine Journal, 20, 464-474. https://doi.org/10.1007/s00586-010-1616-2
Hill, J. C., & Fritz, J. H. (2011). Psychosocial influences on low back pain, disability, and response to treatment. Physical Therapy, 91, 712-721. https://doi.org/10.2522/ptj.20100280
Iles, R. A., Davidson, M., & Taylor, N. F. (2008). Psychosocial predictors of failure to return to work in non-chronic non-specific low back pain: A systematic review. Occupational and Environmental Medicine, 65, 507-517. https://doi.org/10.1136/oem.2007.036046
Iles, R. A., Davidson, M., Taylor, N. F., & O’Halloran, P. (2009). Systematic review of the ability of recovery expectations to predict recovery outcomes in non-chronic non-specific low back pain. Journal of Occupational Rehabilitation, 19, 25-40. https://doi.org/10.1007/s10926-008-9161-0
Kamper, S. J., Rebbeck, T. J., Maher, C. G., McAuley, J. H., & Sterling, M. (2008). Course and prognostic factors of whiplash: A systematic review and meta-analysis. Pain, 38, 617-629. https://doi.org/10.1016/j.pain.2008.02.019
Kent, P. M., & Keating, J. L. (2008). Can we predict poor recovery from recent-onset nonspecific low back pain: A systematic review. Manual Therapy, 13, 12-28. https://doi.org/10.1016/j.math.2007.05.009
Konstantinou, K., Hider, S. L., Jordan, J. L., Lewis, M., Dunn, K. M., & Hay, E. M. (2013). The impact of low back-related leg pain on outcomes as compared with low back pain alone: A systematic review of the literature. Clinical Journal of Pain, 29, 644-654. https://doi.org/10.1097/AJP.0b013e31826f9a52
Lakke, S. E., Soer, R., Takken, T., & Reneman, M. F. (2009). Risk and prognostic factors for non-specific musculoskeletal pain: A synthesis of evidence from systematic reviews classified into ICF dimensions. Pain, 147, 153-164. https://doi.org/10.1016/j.pain.2009.08.032
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151, 264-269. https://doi.org/10.1136/bmj.b2535
Murray, C. J. L., Vos, T., Lozano, R., Naghavi, M., Flaxman, A. D., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., Aboyans, V., Abraham, J., Ackerman, I., Aggarwal, R., Ahn, S. Y., Ali, M. K., AlMazroa, M. A., Alvarado, M., Anderson, H. R., … Lopez, A. D. (2012). Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380, 2197-2223. https://doi.org/10.1016/S0140-6736(12)61689-4
Oliveira, C. B., Pinheiro, M. B., Teixeira, R. J., Franco, M. R., Silva, F. G., Hisamatsu, T. M., Ferreira, P. H., & Pinto, R. Z. (2019). Physical activity as a prognostic factor of pain intensity and disability in patients with low back pain: A systematic review. European Journal of Pain, 23, 1251-1263. https://doi.org/10.1002/ejp.1395
Oosterhuis, T., Smaardijk, V. R., Kuijer, P. P. F. M., Langendam, M. W., Frings-Dresen, M. H. W., & Hoving, J. L. (2019). Systematic review of prognostic factors for work participation in patients with sciatica. Occupational and Environmental Medicine, 76, 772-779. https://doi.org/10.1136/oemed-2019-105797
Pieper, D., Puljak, L., Gonzalez-Lorenzo, M., & Minozzi, S. (2019). Minor differences were found between AMSTAR 2 and ROBIS in the assessment of systematic reviews including both randomised and nonrandomised studies. Journal of Clinical Epidemiology, 108, 26-33. https://doi.org/10.1016/j.jclinepi.2018.12.004
Pinheiro, M. B., Ferreira, M. L., Refshauge, K., Maher, C. G., Ordonana, J. R., Andrade, T. B., Tsathas, A., & Ferreira, P. H. (2016). Symptoms of depression as a prognostic factor for low back pain: A systematic review. Spine Journal, 16, 105-116. https://doi.org/10.1016/j.spinee.2015.10.037
Ramond, A., Bouton, C., Richard, I., Roquelaure, Y., Baudreton, C., Legrand, E., & Huez, J. F. (2011). Psychosocial risk factors for chronic low back pain in primary care: A systematic review. Family Practice, 28, 12-21. https://doi.org/10.1093/fampra/cmq072
Rashid, M., Kristofferzon, M. L., Nilsson, A., & Heiden, M. (2017). Factors associated with return to work among people on work absence due to long-term neck or back pain: A narrative systematic review. British Medical Journal Open, 7, e014939. https://doi.org/10.1136/bmjopen-2016-014939
Saragiotto, B. T., Maher, C. G., Moseley, A. M., Yamato, T. P., Koes, B. W., Sun, X., & Hancock, M. J. (2016). A systematic review reveals that the credibility of subgroup claims in low back pain trials was low. Journal of Clinical Epidemiology, 79, 3-9. https://doi.org/10.1016/j.jclinepi.2016.06.003
Sarrami, P., Armstrong, E., Naylor, J. M., & Harris, I. A. (2017). Factors predicting outcome in whiplash injury: A systematic meta-review of prognostic factors. Journal of Orthopaedics and Traumatology, 18, 9-16. https://doi.org/10.1007/s10195-016-0431-x
Shearer, H. M., Carroll, L. J., Cote, P., Randhawa, K., Southerst, D., Varatharajan, S., Wong, J. J., Yu, H., Sutton, D., van der Velde, G., Nordin, M., Gross, D. P., Mior, S., Stupar, M., Jacobs, C., & Taylor-Vaisey, A. (2020). The course and factors associated with recovery of whiplash-associated disorders: An updated systematic review by the Ontario protocol for traffic injury management (OPTIMa) collaboration. European Journal of Physiotherapy. https://doi.org/10.1080/21679169.2020.1736150
Smith, V., Devane, D., Begley, C. M., & Clarke, M. (2011). Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC Medical Research Methodology, 11, 15. https://doi.org/10.1186/1471-2288-11-15
Steenstra, I. A., Munhall, C., Irvin, E., Oranye, N., Passmore, S., Van Eerd, D., Mahood, Q., & Hogg-Johnson, S. (2017). Systematic review of prognostic factors for return to work in workers with sub acute and chronic low back pain. Journal of Occupational Rehabilitation, 27, 369-381. https://doi.org/10.1007/s10926-016-9666-x
Valentin, G. H., Pilegaard, M. S., Vaegter, H. B., Rosendal, M., Ortenblad, L., Vaeggemose, U., & Christensen, R. (2016). Prognostic factors for disability and sick leave in patients with subacute non-malignant pain: A systematic review of cohort studies. British Medical Journal Open, 6, e007616. https://doi.org/10.1136/bmjopen-2015-007616
Verkerk, K., Luijsterburg, P. A., Miedema, H. S., Pool-Goudzwaard, A., & Koes, B. W. (2012). Prognostic factors for recovery in chronic nonspecific low back pain: A systematic review. Physical Therapy, 92, 1093-1108. https://doi.org/10.2522/ptj.20110388
Verwoerd, A. J., Luijsterburg, P. A., Lin, C. W., Jacobs, W. C., Koes, B. W., & Verhagen, A. P. (2013). Systematic review of prognostic factors predicting outcome in non-surgically treated patients with sciatica. European Journal of Pain, 17, 1126-1137. https://doi.org/10.1002/j.1532-2149.2013.00301.x
Verwoerd, M., Wittink, H., Maissan, F., de Raaij, E., & Smeets, R. J. E. M. (2019). Prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: A systematic review. Musculoskeletal Science and Practice, 42, 13-37. https://doi.org/10.1016/j.msksp.2019.03.009
von Baeyer, C. L. (2006). Children's self-reports of pain intensity, scale selection, limitations and interpretation. Pain Research and Management, 11(3), 157-162. https://doi.org/10.1155/2006/197616
Walton, D. M., Carroll, L. J., Kasch, H., Sterling, M., Verhagen, A. P., MacDermid, J. C., Gross, A., Santaguida, P. L., Carlesso, L., & ICON. (2013). An overview of systematic reviews on prognostic factors in neck pain: Results from the International Collaboration on Neck Pain (ICON) project. The Open Orthopaedics Journal, 7, 494-505. https://doi.org/10.2174/1874325001307010494
Walton, D. M., MacDermid, J. C., Giogianni, A. A., Mascarenhas, J. C., West, S. C., & Zammit, C. A. (2013). Risk factors for persistent problems following acute whiplash injury: Update of a systematic review and meta-analyses. Journal of Orthopaedic and Sports Physical Therapy, 43, 31-43. https://doi.org/10.2519/jospt.2013.4507
Wertli, M. M., Eugster, R., Held, U., Steurer, K., Kofmehl, R., & Weiser, S. (2014). Catastrophising - A prognostic factor for outcome in patients with low back pain: A systematic review. Spine Journal, 14, 2639-2657. https://doi.org/10.1016/j.spinee.2014.03.003
Wertli, M. M., Rasmussen-Barr, E., Weiser, S., Bachmann, L. M., & Brunner, F. (2014). The role of fear-avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: A systematic review. Spine Journal, 14, 816-836. https://doi.org/10.1016/j.spinee.2013.09.036
Whiting, P., Savovic, J., Higgins, J. P., Caldwell, D. M., Reeves, B. C., Shea, B., Davies, P., Kleijnen, J., Churchill, R., & ROBIS Group. (2016). ROBIS: A new tool to assess risk of bias in systematic reviews was developed. Journal of Clinical Epidemiology, 69, 225-234. https://doi.org/10.1016/j.jclinepi.2015.06.005
Wilhelm, M., Reiman, M., Goode, A., Richardson, W., Brown, C., Vaughn, D., & Cook, C. (2017). Psychological predictors of outcomes with lumbar spinal fusion: A systematic literature review. Physiotherapy Research International, 22, e1648. https://doi.org/10.1002/pri.1648
Wynne-Jones, G., Cowen, J., Jordan, J. L., Uthman, O., Main, C. J., Glozier, N., & van der Windt, D. (2014). Absence from work and return-to-work in people with back pain: A systematic review and meta-analysis. Occupational and Environmental Medicine, 71, 448-456. https://doi.org/10.1136/oemed-2013-101571